Bile is normally sterile. Bactibilia occurs when bile flow is impaired and bacteria gain access to the biliary duct by the papilla or portal circulation. Bile duct obstruction leads sequentially to increase in intra biliary pressure, infection of bile, cholangiovenous and cholangiolymphatic reflux leading to bacteremia [1-3]. The bacteria described commonly in biliary tract infections include E...

PURPOSE To determine the factors affecting the ability to cross malignant biliary obstructions in percutaneous transhepatic interventions. MATERIALS AND METHODS In this study, 256 patients with 310 obstructive malignant biliary lesions from May 2006 to January 2009 were analyzed retrospectively. All of the patients had undergone percutaneous transhepatic cholangiography and intervention. Obst...

Biliary atresia is the most common cause of pathologic jaundice in young infants and results from the obstruction of the extrahepatic bile ducts by an inflammatory and fibro-obliterative process. Although the pathogenesis of the disease is multifactorial, recent patient- and animal-based studies began deciphering the molecular pathways involved in biliary injury and duct obstruction. Using larg...

Biliary stent migration is one of the late complications endoscopic retrograde cholangiopancreatography. Most biliary asymptomatic and successfully managed by removal. A 66-year-old man with unresectable pancreatic cancer, common bile duct obstruction, duodenal third portion obstruction underwent plastic placement uncovered metallic in two separate sessions. After 3 weeks from stenting, he pres...

A case of delayed biliary obstruction and cholangitis, occurring in the setting of chronic allograft rejection, 8 years after liver transplantation using the gallbladder-conduit, is presented. Extrahepatic biliary obstruction may be seen in the late follow-up of liver grafting and rejection phenomena may play a significant role in the development of such obstruction.

Portal biliopathy is defined as biliary abnormalities associated most commonly with extrahepatic portal vein obstruction. We report on three cases of portal biliopathy collected within the past 15 years. All three cases were presented with variceal blee ding due to portal hypertension. Clinical signs of subsequent portal biliopathy appeared as biliary obstruction with jaundice. All patients wer...

BACKGROUND Duodenal Peutz-Jeghers polyp is a rare cause of duodenal or biliary obstruction. However, a sporadic Peutz-Jeghers polyp leading to simultaneous biliary and duodenal obstruction has not been reported. CASE PRESENTATION We report a case of a 25-year-old Sri Lankan woman presenting with features of recurrent upper small intestinal obstruction and biliary obstruction. She had clinical...

Fasciola hepatica infection may result in biliary obstruction with or without cholangitis in the chronic biliary phase. Because clinical symptoms and signs of F. hepatica are similar to other biliary diseases that cause bile duct obstruction, such as stones or bile duct malignancies, that are, in fact, more common, this condition may not be suspected and diagnosis may be overlooked and delayed....

INTRODUCTION To report our experience in palliative hepaticojejunostomy for advanced malignant biliary obstruction by means of robotic approach METHODS Robot-assisted laparoscopic hepaticojejunostomy for advanced malignant biliary obstruction was performed in nine patients from May 2009 to April 2014. RESULTS During the study period, robotic hepaticojejunostomy for advanced malignant biliar...

Chronic pancreatitis can be complicated by benign biliary stricture in about 5-40% of the patients[1]. The severity of this biliary narrowing varies with patients having a wide range of presentation ranging from asymptomatic elevation of liver enzymes to deep jaundice and cholangitis. It is important to treat biliary obstruction, as long standing biliary stricture can lead on to secondary bilia...